10 The Green

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first assessment for this service. This key question has been rated Good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

The provider worked with people, relatives and professionals to ensure needs were assessed, understood and regularly reviewed. People had detailed risk assessments and care plans which were updated when their needs changed.

Relatives told us they were involved in assessments of “their loved ones’ needs”. A relative told us, “They [provider] will contact me if there’s any changes needed in between reviews, and we will discuss what to do.”

These assessments informed personalised care plans that accurately reflected people’s current needs, preferences and health conditions.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

There was clear evidence people’s wishes and preferences were consistently considered and documented within their care plans. These records captured how each person preferred to receive care and supported staff in understanding each person’s individual care requirements.

A relative told us, “They include [person] in all decisions to make sure the care is about [person], it makes such a big difference to [person’s] mood when they come.”

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Staff reported they had access to the information they needed to support people and were kept informed of any changes in people’s needs. This included access to the previous care workers’ notes. Staff worked alongside family members to support people and share information regarding their wellbeing.

Staff told us they would report any incidents or concerns regarding people’s care to the office.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

People’s health needs were consistently reviewed, with suitable support in place to address any changes promptly. People were supported to attend healthcare services, including both routine and specialist appointments.

Staff also supported people to maintain a balanced diet and adequate hydration, actively encouraging healthy lifestyle choices.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

People’s support was regularly reviewed to ensure it remained effective and responsive to their changing needs.

People told us the care reviews were focused on their care needs and any changes to their circumstances would be reflected in their care plans.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People’s care plans explained how the person consents to care. Staff could clearly explain how they sought consent and how they would involve the registered manager if the involvement of relatives or professionals was required in decisions about people’s care.

A relative told us staff always asked for consent before providing personal care.